Healthcare Provider Details

I. General information

NPI: 1649347592
Provider Name (Legal Business Name): ROCIO PEREZ-CARRILLO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROCIO PEREZ MD

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 12/22/2021
Certification Date: 12/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9400 ROSECRANS AVE
BELLFLOWER CA
90706-2246
US

IV. Provider business mailing address

9400 ROSECRANS AVE
BELLFLOWER CA
90706-2246
US

V. Phone/Fax

Practice location:
  • Phone: 562-461-3000
  • Fax:
Mailing address:
  • Phone: 562-461-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA74191
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: